Mental Retardation as a Western Sociological Construct: A Cross-cultural Analysis

The purpose of this paper is to examine the sociological processes evidenced by Western and non-Western cultures in defining and labeling persons as mentally retarded. Societal perceptions of individuals with mental impairments have meaning only within a specific cultural milieu. Regardless of any existence in an absolute sense, 'mental retardation' is also a sociological construct. Cross-cultural, sociological studies may yield alternative strategies for assessing mental retardation in 'advanced' industrialised societies, making treatment of individuals labeled retarded more effective and more humane. The knowledge gained from such studies will provide insights into the relationship which exists between the perceptions and definitions of mental retardation and the various levels of sociocultural and socioeconomic integration evidenced by humankind.     

Equally unequal: gender discrimination in the workplace among adults with mental retardation

Gender discrimination in the work place has been widely reported. Women are usually discriminated against both with respect to level of occupation and salary. The current study explored the correlation between gender and employment among adults with mental retardation, specifically, whether gender discrimination in the work place is as prominent among people with mental retardation as in the general population. Level of occupation and salary earned were studied in 227 adults with mild and moderate mental retardation residing in institutions, hostels, and sheltered homes in Israel. The findings suggest a correlation between gender and employment similar to that in the general population. Women were found to be employed mainly in sheltered workshops and lower levels of occupation, and to earn significantly less than the men. However, closer examination of each work place revealed that within each level of occupation there were no significant gender differences in salary. The finding suggests that while women with mental retardation earn lower salaries than men, this is mainly the result of their lower level of occupation. Rehabilitation efforts should therefore be directed toward ensuring higher levels of occupation as well as community employment among women with mental retardation.     

On Accepting Relationships between People with Mental Retardation and Non-disabled People: Towards an Understanding of Acceptance

This article outlines the “sociology of acceptance” as a theoretical framework for understanding relationships between people with mental retardation and typical people. As a point of departure, the authors review sociocultural perspectives on deviance and explore their contribution to the study of mental retardation. Based on qualitative research on community programs for people with severe disabilities, the authors next examine the nature of accepting relationships and describe four sentiments expressed by typical people who form relationships with people with mental retardation: family; religious commitment; humanitarian sentiments; and feelings of friendship. The article concludes with a brief discussion of the implications of a sociology of acceptance for the field of mental retardation.     

PRAGMATISM AND GRIEVING: INCORPORATING MEAD AND DEWEY TO UNDERSTAND THE GRIEVING OF PEOPLE WITH MENTAL RETARDATION

Although the philosophy of pragmatism influenced American sociology, specifically that of symbolic interactionism, its use as a tool for explanation of everyday life has been underutilized throughout sociology. In this article, pragmatism, specifically the ideas of George Herbert Mead and John Dewey provide a framework for the understanding of grieving, specifically as it relates to people with mental retardation. Both Mead and Dewey's use and inclusion of physics into their philosophies proved paramount in their assertions regarding Cartesian or ontological dualism. They then demonstrated through the inclusion of quantum physics how to avoid positivism, thereby creating the necessary link of science with human perception and human action. Mead's use of the Theory of Relativity, as well as Sociality; and Dewey's incorporation of the Uncertainty Principle, and addressing the sum of possibilities, provides a context where the grieving process of people with mental retardation will be much more pronounced. People with mental retardation, by definition, through their neural networks have an inability to perceive existence in a manner that is functionally the same as the rest of the population. Their abilities influence how people with mental retardation relate to themselves or environment, thereby creating either fewer realities or systems from which to interact, or creating ones that are functionally dissimilar from the typical population, hence the label “mental retardation;” therefore, the loss of someone or something creates a greater hole or emptiness for people with mental retardation than the rest of society.     

Supporting People with a Mental Handicap in the Community: A Social Psychological Perspective

Community care is a key concept in policy-making and service provision for people with a mental handicap. Yet the nature of the 'community' and the source of 'care' referred to is rarely specified. The meaning of 'community' is examined in relation to sociological and social psychological research and the assumption that geographical proximity promotes shared identity and caring relationships is called into question. It is argued that an emphasis on place and nostalgic notions of neighbourliness can obscure the difficult social psychological work of creating relationships within which people with a mental handicap can develop positive social and personal identities. The paper emphasises the importance of such relationships and argues that, for many people with a mental handicap, spontaneous local contact will not provide adequate levels of support and involvement. The creation of artificially maintained supportive networks is recommended and the resource implications of achieving good-quality care in the community are noted.     

Students' Attitudes to the Inclusion of People with Disabilities in the Community

This study measures and compares the attitudes of students studying different subjects to the inclusion of people with mental retardation and mental illness in the community. The Community Living Attitude Scale (comprising the four subscales of Empowerment, Exclusion, Sheltering, and Similarity) was administered to a random sample of 149 Israeli college freshmen and women (social work: n = 43: law: n = 24; natural science: n = 42; and social science: n = 40). Overall, the students endorse Empowerment and perceive the Similarity of persons with disabilities to themselves more than they agree with the Exclusion attitude of segregating persons with disabilities from community life. Social work students showed more positive inclusion attitudes to people with disabilities than other students. Students were more likely to endorse Exclusion for people with mental illness than for people with mental retardation.     

Listening to Disabled People: The Problem of Voice and Authority in Robert B. Edgerton's the Cloak of Competence

Using anthropological methods and a theoretical perspective derived from the sociology of Erving Goffman, Robert B. Edgerton's The Cloak of Competence: stigma in the lives of the mentally retarded (1967) brought an unusual degree of empathy to attempts to understand the lives of those labeled 'mentally retarded'. Yet the book was conceived prior to the time when mental retardation began to be widely formulated as a social construction rather than a clinical syndrome. This essay analyzes the consequences for Edgerton's understanding of the lives of recently deinstitutionalized people of this uneasy combination of empathy and acceptance of mental retardation as an unalterable condition. Particular attention is paid to the ways in which Edgerton's conceptualization of mental retardation served to deny to members of his sample a voice with which to speak authoritatively about their own situation. Edgerton's revisionist follow-up research, which called into question some aspects of his earlier conceptualization of mental retardation, is also discussed.     

The Public Stigma of Problem Gambling: Its Nature and Relative Intensity Compared to Other Health Conditions

Problem gambling attracts considerable public stigma, with deleterious effects on mental health and use of healthcare services amongst those affected. However, no research has examined the extent of stigma towards problem gambling within the general population. This study aimed to examine the stigma-related dimensions of problem gambling as perceived by the general public compared to other health conditions, and determine whether the publicly perceived dimensions of problem gambling predict its stigmatisation. A sample of 2000 Australian adults was surveyed, weighted to be representative of the state population by gender, age and location. Based on vignettes, the online survey measured perceived origin, peril, concealability, course and disruptiveness of problem gambling and four other health conditions, and desired social distance from each. Problem gambling was perceived as caused mainly by stressful life circumstances, and highly disruptive, recoverable and noticeable, but not particularly perilous. Respondents stigmatised problem gambling more than sub-clinical distress and recreational gambling, but less than alcohol use disorder and schizophrenia. Predictors of stronger stigma towards problem gambling were perceptions it is caused by bad character, is perilous, non-recoverable, disruptive and noticeable, but not due to stressful life circumstances, genetic/inherited problem, or chemical imbalance in the brain. This new foundational knowledge can advance understanding and reduction of problem gambling stigma through countering inaccurate perceptions that problem gambling is caused by bad character, that people with gambling problems are likely to be violent to other people, and that people cannot recover from problem gambling.     

Public attitudes toward disclosing mental health conditions

This study examined public perceptions about mental illness, specifically investigating individuals’ concerns about disclosing a mental condition and the potential outcomes of doing so. This survey asked 570 adults whether they would disclose a mental condition in four different scenarios: seeking health care, employment, academic or vocational counseling, and for background checks. Respondents were then asked to identify the reasons they would agree or refuse to disclose. Only in a health care situation were respondents very favorably inclined to disclose. A significant percentage of people in all scenarios were unwilling to disclose, citing privacy as a primary concern.     

Contact Reduces Transprejudice: A Study on Attitudes towards Transgenderism and Transgender Civil Rights in Hong Kong

ABSTRACT

This paper examines the relationship between Hong Kong Chinese people's contact with transgender/transsexual (TG/TS) people and attitudes toward transgenderism and transgender civil rights, based on Allport's Contact Hypothesis. The term transprejudice is introduced to refer to the negative valuing, stereotyping and discriminatory treatment of TG/TS people. Data are presented from a population-based survey with a random sample of 856 Hong Kong Chinese persons aged between 15 and 64, using the Chinese Attitudes towards Transgenderism and Transgender Civil Rights Scale (CATTCRS). Attitudes, assessed on both personal and institutional dimensions, are examined in relation to participants’ gender, age, educational level, religiosity, and previous contact with transpeople. Results suggest that previous contact with transpeople was significantly associated with attitudes reflected in the scale; decreased social distance, decreased social discrimination, and decreased transprejudice, increased awareness of discrimination against transpeople, increased support for equal opportunities, increased support for post-operative transsexual civil rights, and increased support for anti-discrimination legislation. Our findings support the contact hypothesis, that contact has a positive effect on attitudes towards TG/TS persons. We discuss the implications of these findings for public education interventions and public policy, as well as for research.     

Cognitive-behavioral therapy. Treating individuals with dual diagnoses

Because deinstitutionalization of individuals with mental retardation/developmental disability and mental illness has become the standard of practice, many practitioners are now faced with the challenge of serving the needs of this specialized population. The existence of mental illness in individuals with mental retardation has been well established in the literature, but there are relatively few studies involving therapeutic interventions in this client population. However, there is a theoretical framework that guides practice and measures the effectiveness of interventions with this specialized population. This article presents a case study exploring the application of cognitive-behavioral therapy to a client with mental retardation and mental illness. The theoretical framework, major concepts, and key assumptions of the theory will be reviewed, as well as treatment outcomes.     

Focusing on Empowerment: facilitating self-help in young people with arthritis through a disability organisation

Young people with arthritis face a number of disabling barriers when negotiating their way through contemporary society. A national disability organisation, Young Arthritis Care YAC , has established a Contact network, whereby young people with arthritis provide support to similar others in the community. To improve the service, YAC initiated Contact Training Courses in the fields of advocacy and counselling. An appropriate research methodology was required that enabled the efficacy of this training to be examined in a disability framework. Focus group technique was selected as a research methodology set within an emancipatory paradigm that can in itself be an empowering experience for participants. Results illustrated that focus group technique enabled young people with arthritis to freely articulate their views concerning the efficacy of training set within the framework of self-help.     

Conceptions of Work Among Adolescents and Young Adults With Mental Retardation

Semistructured interviews were conducted with 16 Israeli adolescents and young adults with mild mental retardation to examine their perceptions of the world of work. A consensual qualitative strategy of analysis (C. E. Hill, B. J. Thompson, & E. N. Williams, 1997) yielded 4 domains (Definitions of Work, Reasons for Working, Self‐Awareness, Knowledge About the World of Work) and 12 categories. Although respondents showed strong willingness to participate in the world of work, they had little information regarding this realm. Implications are discussed for career development programs targeting young persons with mental retardation and community and family involvement in such programs.     

Mental Retardation: Impairment or Handicap?

A social psychological approach to mental retardation is outlined in which (1) mental retardation is seen as a social construct rather than a within-individual pathology and (2) the meaning of the construct is related to social interests and purposes. Hence, between group differences in beliefs about retardates are seen as the expression of different group norms, i.e. a social psychological phenomenon rather than an aggregate of individual differences. Empirical support for the approach is provided by contrasting lay people's and psychologists' beliefs about 'retardates', most strikingly in the form of a differential effect of personal contact, which as predicted, 'improves' lay evaluation, but leaves psychologists' beliefs unchanged.     

Ethnic Identity Development Among Adolescents in Foster Care

Because past research indicates that stronger ethnic identity is related to better outcomes in areas such as academic achievement and mental health, it is important to provide youth in foster care with opportunities to develop their ethnic identity. Using data from in-person interviews with 188 youth aged 14–17 in foster care (88.7% response rate), this paper explores two areas related to ethnic identity: (1) youth perceptions about their own ethnic identity, and (2) attitudes about ethnic identity development specific to the experience of being in foster care. Results suggest that black youth and Hispanic/Latino youth have a stronger sense of ethnic identity than white youth. Most youth are interested in learning more about their ethnic background. Understanding how youth in foster care identify ethnically and understanding their beliefs related to ethnic identity may lead to the enhancement of services provided to youth across child welfare, education, and mental health systems.

The labeling paradox: stigma, the sick role, and social networks in mental illness

Although research supports the stigma and labeling perspective, empirical evidence also indicates that a social safety net remains intact for those with mental illness, recalling the classic "sick role" concept. Here, insights from social networks theory are offered as explanation for these discrepant findings. Using data from individuals experiencing their first contact with the mental health treatment system, the effects of diagnosis and symptoms on social networks and stigma experiences are examined. The findings suggest that relative to those with less severe affective disorders, individuals with severe diagnoses and more visible symptoms of mental illness have larger, more broadly functional networks, as well as more supporters who are aware of and sympathetic toward the illness situation. However, those with more severe diagnoses are also vulnerable to rejection and discrimination by acquaintances and strangers. These findings suggest that being formally labeled with a mental illness may present a paradox, simultaneously initiating beneficial social processes within core networks and detrimental ones among peripheral ties.     

Fear of people with mental illnesses: the role of personal and impersonal contact and exposure to threat or harm

Vignette and laboratory experiments suggest that negative reactions to people with mental illness are a direct consequence of their symptomatic behavior, but because of their poor external validity, these studies cannot tell us whether widespread negative public reactions to people with mental illness actually result from observation of symptomatic behavior. Focusing on perceived danger, we use a large national survey to test the "behavior hypothesis" in the general population. We reason that, if this hypothesis is correct, contact with people with mental illnesses should be associated with more perceived danger, and exposure to threat or harm should mediate this association. On the contrary, respondents with more personal and impersonal contact perceive people with mental illness to be less dangerous. Exposure to threat is more common among people with more contact, but this exposure explains very little of the variance in perceived danger. These findings do not support the conclusion that public fear of people with mental illness is due to the observation of violent behavior.     

'They don't quite fit the way we organise our services'—results from a UK field study of marginalised groups and dementia care

The accessibility of dementia services to two groups of marginalised service users (people under 65 years of age and people from minority ethnic groups) was examined as part of a UK field study. In 61 interviews with a purposeful sample of professionals and paid carers in dementia care, the main issue in service access related to the small numbers of potential service users and their geographical dispersal. Other issues reflected those faced by people with dementia in general. At present, it seems as though decisions on care are based mainly on financial considerations and perceptions of the risk and dangerousness posed by people with dementia. These findings are linked to broader debates within the social model of disability about the need to address issues relating to people with learning impairments.     

Strengths-Based Approach and Coping Strategies used by Parents Whose Young Children Exhibit Violent Behaviour: Collaboration Between Schools and Parents

This research study explores the strategies adopted by 60 parents of children between 3 and 9 years of age considered to have engaged in violent behaviour, within the meaning of the Safe Schools Act (Ontario Ministry of Education, Canada, 2000). This legal framework requires parents to be involved in the decisions concerning their children. Parents’ perceptions of their involvement lead them to develop coping strategies enabling them to play a more active role in such decision making. This article analyzes their perceptions according to a strengths-based approach and seeks to provide a mediation perspective to social work practice with families.